0001213900-20-018683.txt : 20200727 0001213900-20-018683.hdr.sgml : 20200727 20200727133749 ACCESSION NUMBER: 0001213900-20-018683 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200713 FILED AS OF DATE: 20200727 DATE AS OF CHANGE: 20200727 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Amusa Gbolahan CENTRAL INDEX KEY: 0001761120 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38762 FILM NUMBER: 201049986 MAIL ADDRESS: STREET 1: 17 STATE STREET 21 FLOOR CITY: NEW YORK STATE: NY ZIP: 10004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: BiomX Inc. CENTRAL INDEX KEY: 0001739174 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 17 STATE STREET, 16TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10004 BUSINESS PHONE: 646-465-9000 MAIL ADDRESS: STREET 1: 17 STATE STREET, 16TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10004 FORMER COMPANY: FORMER CONFORMED NAME: Chardan Healthcare Acquisition Corp. DATE OF NAME CHANGE: 20180430 4 1 ownership.xml OWNERSHIP DOCUMENT X0306 4 2020-07-13 0 0001739174 BiomX Inc. PHGE 0001761120 Amusa Gbolahan C/O CHARDAN CAPITAL MARKETS LLC 17 STATE STREET, 21 FLOOR NEW YORK NY 10004 1 0 0 0 Common Stock, par value $0.0001 2020-07-13 4 J 0 95148 0 A 237871 D Warrants to purchase Common Stock 11.50 2020-07-13 4 J 0 276190 A 2019-12-18 2024-10-28 Common Stock 276190 276190 D The shares were distributed to the reporting person by Mountain Wood LLC, which distributed its securities in the issuer to its members. /s/ Gbola Amusa 2020-07-27